Rheumatology Unit, Department of Internal Medicine, Azienda USL-IRCCS di Reggio Emilia e Università di Modena e Reggio Emilia , Reggio Emilia, Italy.
Expert Rev Clin Immunol. 2020 Oct;16(10):985-991. doi: 10.1080/1744666X.2021.1823219. Epub 2020 Dec 24.
Heart involvement in vasculitis is rare, but potentially severe. The ascertainment of cardiac disease in vasculitis is complex and requires an integrated multidisciplinary approach involving the Rheumatologist, Radiologist, Cardiologist, and Heart surgeon.
the authors searched PubMed using the keywords 'heart'[Mesh] and vasculitis"[Mesh].
Virtually any vasculitis can affect the heart, but cardiac involvement is more common in some vasculitides such as Takayasu arteritis, polyarteritis nodosa, and eosinophilic granulomatosis with polyangiitis. Immunosuppressive treatment and when indicated surgery can improve the prognosis.
血管炎很少累及心脏,但潜在风险严重。血管炎相关心脏病的诊断较为复杂,需要风湿科医生、放射科医生、心脏病专家和心胸外科医生共同协作,采取多学科综合诊疗方法。
作者使用“心脏”[MeSH 主题词]和“血管炎”[MeSH 主题词]关键词在 PubMed 上进行检索。
几乎任何类型的血管炎都可能累及心脏,但心脏受累在一些血管炎中更为常见,如 Takayasu 动脉炎、多发性大动脉炎和嗜酸性肉芽肿性多血管炎。免疫抑制治疗,必要时手术治疗,可以改善预后。